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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 2d: Other expenses and losses per audited F/S</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCRUED HEALTH CLAIMS 12/31/22 $4026915</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCRUED HEALTH CLAIMS 12/31/23 $5434376</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION UTILIZES THE SERVICES OF I.E. SHAFFER, A THIRD PARTY ADMINISTRATOR, AND FABIAN &amp; BYRN LLC, A CLAIMS ADMINISTRATOR.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>THE FORM 990 IS PREPARED BY THE INDEPENDENT AUDITOR. A COPY OF THE FORM IS PROVIDED TO EACH TRUSTEE FOR THEIR REVIEW PRIOR TO SUBMISSION.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>GOVERNING DOCUMENTS, FILINGS AND AUDITED FINANCIAL STATEMENTS ARE MADDE AVAILABLE UPON REQUEST OR MAY BE EXAMINED AT THE ADDRESS OF THE PLAN.</ExplanationTxt>
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